Active NPI
Meijer Inc
Doing business as Meijer Pharmacy #055
- Community/Retail Pharmacy
- Sterling Heights, MI
National Provider Identifier
1821138306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301004392
- Legal business name
- MEIJER INC
- Doing business as
- Meijer Pharmacy #055
- Practice address
- 36600 Van Dyke Ave
Sterling Heights, MI 48312-2766 - Phone
- (586) 274-1610
- Fax
- (586) 274-1665
- NPI assigned
- Feb 7, 2007
- Last updated
- Mar 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Beauch, RPH
- Title
- Director of Pharmacy Managed Care
- Phone
- (616) 791-3169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5301004392 | MI | |
| Community/Retail Pharmacy | 3336C0003X | 5301004392 | MI | Primary |
Addresses
Primary practice location
36600 Van Dyke Ave
Sterling Heights, MI 48312-2766
Mailing address
2929 Walker Ave NW
Grand Rapids, MI 49544-9424
Phone (616) 791-3169
Other names 1
- Meijer Pharmacy #055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071022000424 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325015639 | This NPI is an additional NPI on the enrollment |
| O20100930067278 | MI | DME Supplier - Pharmacy | 8325015639 | Practice locations: Sterling Heights, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Meijer Pharmacy #055 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Meijer Pharmacy 150
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Grand Rapids, MI
- NPI 1518380062
-
- Pharmacotherapy Pharmacist
- Sterling Heights, MI
- NPI 1013328376
-
- Pharmacist
- Sterling Heights, MI
- NPI 1821410283
-
- Pharmacist
- Sterling Heights, MI
- NPI 1629577796
-
- Pharmacist
- Sterling Heights, MI
- NPI 1932718889
-
- Pharmacist
- Sterling Heights, MI
- NPI 1578003117
-
- Pharmacist
- Sterling Heights, MI
- NPI 1164846333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1821138306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 WALKER AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495449424",
"telephone_number": "616-791-3169",
"fax_number": "616-735-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36600 VAN DYKE AVE",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483122766",
"telephone_number": "586-274-1610",
"fax_number": "586-274-1665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEIJER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "BEAUCH",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY MANAGED CARE",
"authorized_official_telephone_number": "616-791-3169",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5301004392",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301004392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meijer Pharmacy #055",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sterling Heights, MI
- Medmasters Pharmacy 3 LLC (MedMasters Pharmacy 3)
- Medoptix Medical Billing LLC
- Medpsych PLLC
- Paula Meerschaert
- Jordan Meier
- Deborah Sue Meitzner, OTRL
- Hany Youssef Farag Mekhael, MD
- Christina Marie Meli, BA
- Dylan Wayne Melton
- Mendelson Orthopedics PC (mendelson kornblum orthopedic and spine surgeons)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.